Comparing the Effectiveness of Two Produce Prescription Approaches On Fruit and Vegetable Intake and Food Security, While Exploring Implementation Outcomes Such as Reach, Implementation, Sustainability, and Cost

Not Applicable

Recruiting

• Conditions: Food Insecurity
• Interventions: Other: Product prescription program- NutriConnect Credit; Other: Product prescription program- NutriConnect Delivery

• Registration Number: NCT06263751
• Lead Sponsor: Washington University School of Medicine

Brief Summary

The produce prescription program is one type of food is medicine (FIM) programs, where healthcare providers "prescribe" fruits and vegetables (F\&V) to patients with low household incomes, experience food insecurity, and one or more diet-related diseases. NutriConnect seeks to compare the effectiveness of two produce prescription approaches on F\&V intake an...

Detailed Description

The Produce Prescription Program, as one type of Food is Medicine (FIM) initiatives, involves healthcare providers prescribing fruits and vegetables to patients often have low incomes, food insecurity, and diet-related illnesses. Previous systematic reviews have shown that these programs are associated with increased consumption of fruits and vegetables, imp...

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2024-02-08
• Study First Submitted QC: 2024-02-15
• Study First Posted: 2024-02-16
• Status Verified: 2024-03
• Study Start: 2024-03-25
• Last Update Submitted: 2024-03-25
• Last Update Posted: 2024-03-27
• Primary Completion: 2025-03
• Study Completion: 2025-06

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 240

Inclusion Criteria

1. Adults (>= 18 years)
2. Received care at either medical floors or observation unit at the Bares Jewish Hospital (BJH), and discharged to home.
3. Being screened positive for food or financial insecurity.
4. Have elevated cardiovascular risk, i.e., self-reported diabetes, hypertension, hyperglycemia, or calculated BMI meeting obesity.

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Exclusion Criteria

1. Does not have competence to provide informed consent.
2. Is under suicide watch.
3. Is in police custody.
4. In hospice or palliative care.
5. Not have a stable home.
6. Is pregnant.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
NutriConnect Credit	Product prescription program- NutriConnect Credit	Patient is given $20 credit to their Schnucks (grocery) Reward account every other week for F\&V shopping.
NutriConnect Delivery	Product prescription program- NutriConnect Delivery	Patient receives produce (F\&V) box (with equivalent $20 value) delivered to home every other week.

Primary Outcome Measures

Name	Time	Method
change in F&V intake	6-month	pre- and post-changes in F\&V consumption (cups/day, continuous).

Secondary Outcome Measures

Name	Time	Method
Household food insecurity	6-month	pre- and post-changes in household food insecurity (binary). 6-item USDA Food Security Survey, minimum value = 0, maximum value = 6, lower the score means higher the food security

Trial Locations

Locations (1)

Barnes Jewish Hospital; 🇺🇸 Saint Louis, Missouri, United States